Evaluation of a resistance training program for adults with or at risk of developing diabetes: an effectiveness study in a community setting.

Abstract

BACKGROUND:

To examine the effects of a community-based resistance training program (Lift for Life®) on waist circumference and functional measures in adults with or at risk of developing type 2 diabetes.

METHODS:

Lift for Life is a research-to-practice initiative designed to disseminate an evidence-based resistance training program for adults with or at risk of developing type 2 diabetes to existing health and fitness facilities in the Australian community. A retrospective assessment was undertaken on 86 participants who had accessed the program within 4 active providers in Melbourne, Australia. The primary goal of this longitudinal study was to assess the effectiveness of a community-based resistance training program, thereby precluding a randomized, controlled study design. Waist circumference, lower body (chair sit-to-stand) and upper body (arm curl test) strength, and agility (timed up-and-go) measures were collected at baseline and repeated at 2 months (n = 86) and again at 6 months (n = 32).

RESULTS:

Relative to baseline, there was a significant decrease in mean waist circumference (-1.9 cm, 95% CI: -2.8 to -1.0) and the timed agility test (-0.8 secs, 95% CI: -1.0 to -0.6); and significant increases in lower body (number of repetitions: 2.2, 95% CI: 1.4-3.0) and upper body (number of repetitions: 3.8, 95% CI: 3.0-4.6) strength at the completion of 8 weeks. Significant differences remained at the 16 week assessment. Pooled time series regression analyses adjusted for age and sex in the 32 participants who had complete measures at baseline and 24-week follow-up revealed significant time effects for waist circumference and functional measures, with the greatest change from baseline observed at the 24-week assessment.

CONCLUSIONS:

These findings indicate that an evidence-based resistance training program administered in the community setting for those with or at risk of developing type 2 diabetes, can lead to favorable health benefits, including reductions in central obesity and improved physical function.

• Authors: Karl E Minges, Glen Cormick, Edna Unglik, David W Dunstan
• Journal: The international journal of behavioral nutrition and physical activity (Int J Behav Nutr Phys Act) Vol. 8 Pg. 50 (May 25 2011) ISSN: 1479-5868 [Electronic] England
• PMID: 21612648 (Publication Type: Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Aged
• Aged, 80 and over
• Australia
• Body Composition
• Cross-Sectional Studies
• Data Collection
• Diabetes Mellitus, Type 2 (prevention & control)
• Evidence-Based Practice (methods)
• Female
• Follow-Up Studies
• Health Promotion (methods)
• Humans
• Longitudinal Studies
• Male
• Middle Aged
• Motor Activity
• Obesity
• Regression Analysis
• Resistance Training
• Retrospective Studies
• Time Factors
• Waist Circumference